Sulfonylurea receptor explained

ATP-binding cassette, subfamily C (CFTR/MRP), member 8
Hgncid:59
Symbol:ABCC8
Altsymbols:SUR1
Entrezgene:6833
Omim:600509
Refseq:NM_000352
Uniprot:Q09428
Chromosome:11
Arm:p
Band:15.1
ATP-binding cassette, subfamily C (CFTR/MRP), member 9
Hgncid:60
Symbol:ABCC9
Altsymbols:SUR2A, SUR2B
Entrezgene:10060
Omim:601439
Refseq:NM_005691
Uniprot:O60706
Chromosome:12
Arm:p
Band:12.1

In molecular biology, the sulfonylurea receptors (SUR) are membrane proteins which are the molecular targets of the sulfonylurea class of antidiabetic drugs whose mechanism of action is to promote insulin release from pancreatic beta cells. More specifically, SUR proteins are subunits of the inward-rectifier potassium ion channels Kir6.x (6.1 and 6.2).[1] The association of four Kir6.x and four SUR subunits form an ion conducting channel commonly referred to as the KATP channel.

Three forms of the sulfonylurea receptor are known, SUR1 encoded by the ABCC8 gene, and SUR2A and SUR2B, which are splice variants arising from a single ABCC9 gene.[2]

Function

The primary function of the sulfonylurea receptor is to sense intracellular levels of the nucleotides ATP and ADP and in response facilitate the open or closing its associated Kir6.x potassium channel. Hence, the KATP channel monitors the energy balance within the cell.[3]

Depending on the tissue in which the KATP channel is expressed, altering the membrane potential can trigger a variety of downstream events. For example, in pancreatic beta cells, high levels of glucose lead to increased production of ATP, which, in turn, binds to the KATP channel resulting in channel closure. The relative depolarization (decrease in membrane hyperpolarization), in turn, opens voltage-dependent calcium channels increasing intracellular calcium concentrations, which triggers exocytosis of insulin.

Under cerebral ischemic conditions, SUR1, the regulatory subunit of the KATP and the NCCa-ATP channels, is expressed in neurons, astrocytes, oligodendrocytes, endothelial cells[4] and by reactive microglia.[5] Blockade of SUR1 receptors with glibenclamide has been involved in improved outcome in animal stroke models and investigational human studies by preventing brain swelling[6] and enhancing neuroprotection.

Tissue distribution

The isoforms of the sulfonylurea receptor have the following tissue distribution:

Disease linkage

The SUR1 protein is coded by the ABCC8 gene and is associated with congenital hyperinsulinism[7] and susceptibility to type 2 diabetes.[8]

Notes and References

  1. Campbell JD, Sansom MS, Ashcroft FM . Potassium channel regulation . EMBO Reports . 4 . 11 . 1038–42 . November 2003 . 14593442 . 1326373 . 10.1038/sj.embor.embor7400003 . Frances Ashcroft .
  2. Aguilar-Bryan L, Clement JP, Gonzalez G, Kunjilwar K, Babenko A, Bryan J . Toward understanding the assembly and structure of KATP channels . Physiological Reviews . 78 . 1 . 227–45 . January 1998 . 9457174 . 10.1152/physrev.1998.78.1.227 . 11851627 .
  3. Nichols CG . KATP channels as molecular sensors of cellular metabolism . Nature . 440 . 7083 . 470–6 . March 2006 . 16554807 . 10.1038/nature04711 . 2006Natur.440..470N . 11899176 . Colin Nichols .
  4. Simard JM, Woo SK, Schwartzbauer GT, Gerzanich V . Sulfonylurea receptor 1 in central nervous system injury: a focused review . Journal of Cerebral Blood Flow and Metabolism . 32 . 9 . 1699–717 . September 2012 . 22714048 . 3434627 . 10.1038/jcbfm.2012.91 .
  5. Ortega FJ, Gimeno-Bayon J, Espinosa-Parrilla JF, Carrasco JL, Batlle M, Pugliese M, Mahy N, Rodríguez MJ . ATP-dependent potassium channel blockade strengthens microglial neuroprotection after hypoxia-ischemia in rats . Experimental Neurology . 235 . 1 . 282–96 . May 2012 . 22387180 . 10.1016/j.expneurol.2012.02.010 . 2445/34278 . 4828181 . free .
  6. Simard JM, Chen M, Tarasov KV, Bhatta S, Ivanova S, Melnitchenko L, Tsymbalyuk N, West GA, Gerzanich V . Newly expressed SUR1-regulated NC(Ca-ATP) channel mediates cerebral edema after ischemic stroke . Nature Medicine . 12 . 4 . 433–40 . April 2006 . 16550187 . 2740734 . 10.1038/nm1390 .
  7. Fournet JC, Junien C . Genetics of congenital hyperinsulinism . Endocrine Pathology . 15 . 3 . 233–40 . 2004 . 15640549 . 10.1385/EP:15:3:233 . 24997856 .
  8. Reis AF, Velho G . Sulfonylurea receptor -1 (SUR1): genetic and metabolic evidences for a role in the susceptibility to type 2 diabetes mellitus . Diabetes & Metabolism . 28 . 1 . 14–9 . February 2002 . 11938023 .